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Safeguard Services performs audits and investigations for Medicare and Medicaid. Safeguard's auditors are very aggressive because Safeguard is compensated based, in part, on recoupments. Health Law Alliance specializes in defending providers against Safeguard audits and investigations, helping to neutralize Safeguard probes before more significant consequences arise, including potential government action. Take Early and Effective Action to Protect your Rights and Reputation.
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Former Government Regulators on Your Side – Our team of healthcare defense specialists is spearheaded by former federal and state prosecutors who understand how the government and its contractors use data mining and proprietary algorithms to identify potential Fraud, Waste & Abuse (FWA) for audits and investigation. Because we understand how the government builds cases, we use their playbook to beat them.
Healthcare Specialty Attorneys and Consultants – Health Law Alliance specializes in healthcare law and is dedicated to defending providers and their licenses from overreach. Our founding partner previously served as a top executive for the biggest companies in healthcare, including McKesson, Relay Health, CoverMyMeds, United Health Group, Optum, and United Healthcare. We know the tricks insurance companies use to deny claims, and use that inside information against them.
Proven Track Record – Some clients turn to us when stakes are the highest, when their businesses are threatened, when their license is challenged, and when their options are limited. Our wins against the government and insurance companies can be reviewed HERE. Many more clients, however, turn to us at the first sign of potential trouble, when we can neutralize the problem before it grows. Either way, we have your back from beginning to end.
Safeguard Services Audit Defense: Common Questions
Why is my practice being audited by Safeguard?
Safeguard Services often audits providers on behalf of government programs like Medicare and Medicaid, as well as other payors, to detect overpayments or suspected fraud, waste, and abuse. Your practice may be audited due to high-cost claims, unusual billing patterns, or other data-mining and targeting. If you’ve received a notice, consulting with a legal expert in Safeguard audits and investigations can help you prepare a strong response and protect your practice, as we discuss further HERE.
What are the potential consequences of a Safeguard audit or investigation?
Safeguard audits can lead to serious financial repercussions, including repayment demands, fines, and even exclusion from Medicare or Medicaid if government agencies get involved. Additionally, negative findings can damage your reputation and lead to increased scrutiny in future audits. Health Law Alliance has experience in mitigating these consequences, working to reduce financial liabilities and safeguard your practice’s reputation.
How can Health Law Alliance assist with a Safeguard audit?
Our attorneys guide you through the entire audit process, from responding to the initial audit notice to challenging any unfavorable findings. Health Law Alliance provides a detailed review of your records, identifies compliance gaps, and develops a customized defense strategy to protect your rights. We have a proven track record in audit defense, giving you confidence and peace of mind.
What steps should I take after receiving a Safeguard audit notice?
After receiving a notice from Safeguard, it’s important to act quickly and carefully. Start by reviewing the audit scope and requirements, but avoid submitting any additional information without consulting an attorney. Health Law Alliance can help you understand the audit’s focus, gather appropriate documentation, and prepare a strategic response to protect your interests.
How long does a Safeguard audit typically take?
The length of a Safeguard audit depends on the scope of the issues, your responsiveness, and any disputes that may arise. Some audits may conclude within a few months, while others can take longer if extensive documentation or negotiations are required. Health Law Alliance assists in managing the audit process efficiently, reducing the impact on your practice.
Can Health Law Alliance help prevent future Safeguard audits?
While future audits cannot be entirely prevented, Health Law Alliance provides proactive compliance support to minimize audit risks. We work with you to identify areas of vulnerability, improve compliance practices, and align with Safeguard’s audit standards, reducing the likelihood of future audits or enforcement actions.
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